TABLE 3

Limitations and Issues Identified in this Trial, as Well as Potential Solutions to Investigate Them

IssuePotential solution
Ratio of 18F and 18F-FDG dosagesConduct dose modeling or phantom studies to determine optimal ratio of 18F to 18F-FDG for combined scan
Sensitivity and specificity of 18F/18F-FDG PET/CTConduct prospective trials with pathology or follow-up evaluation of detected lesions
Quantitation of radiotracer uptakeConduct experiments to determine influence of 18F uptake on 18F-FDG maximum standardized uptake value and vice versa
Interpretation of follow-up studiesConduct prospective studies to evaluate feasibility or usefulness of 18F/18F-FDG PET/CT in posttherapy setting
18F nonspecific uptakeAnalyze CT data to increase specificity